Contact Information
Name : ___________________________________________________________________________________________________
(last) (first) (middle)
Company/Organization : _____________________________________ Title : _______________________________________
Address : _________________________________________________________________________________________________
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Phone : ___________________________________________________________________________________________________
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Class Preference
Please check the class you will prefer to attend.
April 24th - April 25th, 2021 (Virtually Live), March 13th - March 14th, 2021 (Virtually Live)How did you hear about us ? _________________________________________________________________
Registration Fee
Class Registeration fee $1699 (Call in to check for early bird discounts & specials)
I want to get the optional Linux laptop (Included with course fee $700 in value)
Please write a check or money order payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:
LinuxCertified, Inc.
209 E Java Dr #64018
Sunnyvale, CA 94088
Payment by Credit card: _After reviewing your order, we will send you instructions for payment by credit card_
If paying by credit card, you can also fax the form to (253) 399 7329
Please do notify us via email when sending this form.
I have read and I agree to the Terms and Conditions listed on website of linuxcertified.com
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